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Changes in Specific Substance Involvement Scores among SBIRT recipients in an HIV primary care setting.
CONCLUSIONS: Substance use among patients in this urban, safety-net, HIV primary care clinic was near universal, and moderate risk substance use was common. Among participants who received the SBIRT intervention, mean SSISs decreased among those at moderate-high risk at baseline, but increased among those at lower risk at baseline over the 6-month study period. Additional research should examine the clinical significance of SSIS changes for PLHIV, which SBIRT components drive changes in substance use scores, and what other interventions might support those patients at lower risk to maintain health and engagement along the ...
Source: Addiction Science and Clinical Practice - December 12, 2017 Category: Addiction Authors: Dawson-Rose C, Draughon JE, Cuca Y, Zepf R, Huang E, Cooper BA, Lum PJ Tags: Addict Sci Clin Pract Source Type: research

Delivery of screening and brief intervention for unhealthy alcohol use in an urban academic Federally Qualified Health Center.
CONCLUSIONS: Our model of SBI resulted in screening of nearly half of all eligible patients and BI provision to over half of those screening positive. Future efforts to improve SBI delivery should focus on groups such as older adults, women, and those with chronic medical conditions. PMID: 29212532 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - December 7, 2017 Category: Addiction Authors: Bachhuber MA, O'Grady MA, Chung H, Neighbors CJ, DeLuca J, D'Aloia EM, Diaz A, Cunningham CO Tags: Addict Sci Clin Pract Source Type: research

Patterns of HIV testing, drug use, and sexual behaviors in people who use drugs: findings from a community-based outreach program in Phnom Penh, Cambodia.
CONCLUSIONS: A peer-led community-based approach was effective in reaching people who use drugs with HIV and harm reduction interventions. To mitigate ongoing HIV risks, expanding access to combination prevention interventions and implementing strategies to enable people who use drugs to objectively assess their HIV risks are required. Additionally, community-based programs should collect data along the care continuum, to enable decentralized tracking of progress towards 90-90-90 goals at local levels. PMID: 29202872 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - December 5, 2017 Category: Addiction Authors: Mburu G, Ngin C, Tuot S, Chhoun P, Pal K, Yi S Tags: Addict Sci Clin Pract Source Type: research

Role of substance use in HIV care cascade outcomes among people who inject drugs in Russia.
Abstract BACKGROUND: Engaging people who drink alcohol or inject drugs in HIV care can be challenging, particularly in Eastern Europe. Healthcare facilities in Russia are organized by specialty; therefore linking patients from addiction care to HIV hospitals has been difficult. The HIV care cascade outlines stages of HIV care (e.g., linkage to care, prescribed antiretroviral therapy [ART], and achieving HIV viral suppression). We hypothesized that unhealthy alcohol use, injection drug use, and opioid craving are associated with unfavorable HIV care cascade outcomes. METHODS: We analyzed data from a cohort (n&...
Source: Addiction Science and Clinical Practice - December 4, 2017 Category: Addiction Authors: Idrisov B, Lunze K, Cheng DM, Blokhina E, Gnatienko N, Quinn E, Bridden C, Walley AY, Bryant KJ, Lioznov D, Krupitsky E, Samet JH Tags: Addict Sci Clin Pract Source Type: research

Screening in Trauma for Opioid Misuse Prevention (STOMP): study protocol for the development of an opioid risk screening tool for victims of injury.
DISCUSSION: Positive findings from the proposed work would lead to improved, standardized opioid risk screening practices among victims of traumatic injury. The ultimate goal of this and future work is to reduce the likelihood of opioid misuse, addiction, and related complications, such as overdose and death. Trial registration Clinicaltrials.gov registration number: NCT02861976. Date of registration: Feb 9, 2016. PMID: 29198186 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - December 4, 2017 Category: Addiction Authors: Brown R, Deyo B, Riley C, Quanbeck A, Glass JE, Turpin R, Hetzel S, Nicholas C, Cruz M, Agarwal S Tags: Addict Sci Clin Pract Source Type: research

Testing the implementation and sustainment facilitation (ISF) strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC) strategy: study protocol for a cluster randomized trial.
DISCUSSION: Although not without limitations, the ISF experiment has several strengths: a highly rigorous design (randomized, hypothesis-driven), high-need setting (ASOs), large sample size (39 ASOs), large geographic representation (23 states and the District of Columbia), and testing along multiple phases of the EPIS continuum (preparation, implementation, and sustainment). Thus, study findings will significantly improve generalizable knowledge regarding the best preparation, implementation, and sustainment strategies for advancing EBPs along the EPIS continuum. Moreover, increasing ASO's capacity to address substance us...
Source: Addiction Science and Clinical Practice - November 17, 2017 Category: Addiction Authors: Garner BR, Zehner M, Roosa MR, Martino S, Gotham HJ, Ball EL, Stilen P, Speck K, Vandersloot D, Rieckmann TR, Chaple M, Martin EG, Kaiser D, Ford JH Tags: Addict Sci Clin Pract Source Type: research

Testing the effectiveness of a motivational interviewing-based brief intervention for substance use as an adjunct to usual care in community-based AIDS service organizations: study protocol for a multisite randomized controlled trial.
DISCUSSION: If successfully able to implement MIBI as an effective adjunct to usual care, the current trial may have a significant impact on increasing the capacity of ASOs to address problematic substance use among individuals living with HIV/AIDS. Reducing the prevalence of problematic substance use among individuals living with HIV/AIDS within the United States may lead to significant improvements on key performance measures (i.e., the HIV Care Continuum and the 90-90-90 target). Trial registration ClinicalTrials.gov: NCT02495402. PMID: 29149914 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - November 17, 2017 Category: Addiction Authors: Garner BR, Gotham HJ, Tueller SJ, Ball EL, Kaiser D, Stilen P, Speck K, Vandersloot D, Rieckmann TR, Chaple M, Martin EG, Martino S Tags: Addict Sci Clin Pract Source Type: research

More beds are not the answer: transforming detoxification units into medication induction centers to address the opioid epidemic.
PMID: 29141667 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - November 15, 2017 Category: Addiction Authors: Friedmann PD, Suzuki J Tags: Addict Sci Clin Pract Source Type: research

Factors influencing the long-term sustainment of quality improvements made in addiction treatment facilities: a qualitative study.
CONCLUSIONS: Factors identified in QI frameworks as important for short-term sustainment-organizational capacity (e.g. staffing and leadership) and intervention characteristics (e.g. flexibility and fit)-are also important to long-term sustainment. PMID: 29089054 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - November 1, 2017 Category: Addiction Authors: Stumbo SP, Ford JH, Green CA Tags: Addict Sci Clin Pract Source Type: research

Convenience without disclosure: a formative research study of a proposed integrated methadone and antiretroviral therapy service delivery model in Dar es Salaam, Tanzania.
CONCLUSIONS: An integrated methadone and ART service delivery model at the MNH OTP clinic could improve access to HIV care and treatment for OTP patients. However, specific implementation strategies must ensure that OTP providers are not overburdened and confidentiality of patients is maintained. PMID: 29041950 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - October 18, 2017 Category: Addiction Authors: Cooke A, Saleem H, Mushi D, Mbwambo J, Hassan S, Lambdin BH Tags: Addict Sci Clin Pract Source Type: research

Barriers and facilitators of the HIV care continuum in Southern New England for people with drug or alcohol use and living with HIV/AIDS: perspectives of HIV surveillance experts and service providers.
CONCLUSIONS: The most substantial HCC challenges for PLWH with substance use problems included linking and retaining in treatment those with multiple co-morbidities and meeting their basic living needs. Recommendations to improve HCC outcomes for PLWH with substance use problems include increasing easy access to effective drug and mental health treatment, expanding case management and peer navigation services, training staff about harm reduction, de-stigmatizing, and culturally competent approaches to interacting with patients, and increasing information-sharing and service coordination among service providers and the soci...
Source: Addiction Science and Clinical Practice - October 2, 2017 Category: Addiction Authors: Grau LE, Griffiths-Kundishora A, Heimer R, Hutcheson M, Nunn A, Towey C, Stopka TJ Tags: Addict Sci Clin Pract Source Type: research

Alcohol consumption patterns and HIV viral suppression among persons receiving HIV care in Florida: an observational study.
The objectives of this study were to determine the association of different patterns of alcohol consumption to HIV viral suppression and ART adherence, and to determine whether any associations of alcohol with HIV viral suppression were mediated by poor ART adherence. METHODS: This observational study used baseline data from 619 HIV+ participants, recruited across 8 clinical and community settings across Florida as part of the Florida Cohort from 2014 to 2016. Alcohol consumption was measured by self-report, and grouped into four categories: heavy drinking (>7/week for women or>14 drinks/week for men); bing...
Source: Addiction Science and Clinical Practice - September 27, 2017 Category: Addiction Authors: Cook RL, Zhou Z, Kelso-Chichetto NE, Janelle J, Morano JP, Somboonwit C, Carter W, Ibanez GE, Ennis N, Cook CL, Cohen RA, Brumback B, Bryant K Tags: Addict Sci Clin Pract Source Type: research

Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors.
CONCLUSIONS: Implementation of addiction medicine fellowships appears feasible, although a number of barriers exist. Research into factors within the local/practice environment that shape delivery of education to ensure consistent and quality education scale-up is a priority. PMID: 28927448 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - September 20, 2017 Category: Addiction Authors: Klimas J, Small W, Ahamad K, Cullen W, Mead A, Rieb L, Wood E, McNeil R Tags: Addict Sci Clin Pract Source Type: research

HIV treatment cascade among female entertainment and sex workers in Cambodia: impact of amphetamine use and an HIV prevention program.
This study aimed to describe the HIV CoC in HIV-positive FESW. We examined CoC outcomes among HIV-positive FESW participating in the Cambodia Integrated HIV and Drug Prevention Implementation (CIPI) study, being implemented in ten provinces. CIPI is a trial aimed at reducing ATS use concomitant with the SMARTgirl HIV prevention program. METHODS: From 2013 to 2016, 1198 FESW ≥ 18 years old who reported multiple sex partners and/or transactional sex were recruited. We identified 88 HIV-positive women at baseline. We described linkage to care as 12-month retention and viral suppression (
Source: Addiction Science and Clinical Practice - September 5, 2017 Category: Addiction Authors: Muth S, Len A, Evans JL, Phou M, Chhit S, Neak Y, Ngak S, Stein ES, Carrico AW, Maher L, Page K Tags: Addict Sci Clin Pract Source Type: research

Integrated HIV care is associated with improved engagement in treatment in an urban methadone clinic.
Abstract BACKGROUND: Persons living with HIV and unhealthy substance use are often less engaged in HIV care, have higher morbidity and mortality and are at increased risk of transmitting HIV to uninfected partners. We developed a quality-improvement tracking system at an urban methadone clinic to monitor patients along the HIV care continuum and identify patients needing intervention. OBJECTIVE: To evaluate patient outcomes along the HIV Care Continuum at an urban methadone clinic and explore the relationship of HIV primary care site and patient demographic characteristics with retention in HIV treatment and ...
Source: Addiction Science and Clinical Practice - August 22, 2017 Category: Addiction Authors: Simeone C, Shapiro B, Lum PJ Tags: Addict Sci Clin Pract Source Type: research

Screening, treatment initiation, and referral for substance use disorders.
Abstract Substance use remains a leading cause of preventable death globally. A model of intervention known as screening, brief intervention, and referral to treatment (SBIRT) was developed decades ago to facilitate time- and resource-sensitive interventions in acute care and outpatient settings. SBIRT, which includes a psychosocial intervention incorporating the principles of motivational interviewing, has been shown to be effective in reducing alcohol consumption and consequences in unhealthy drinkers both in primary care and emergency department settings. Subsequently, SBIRT for unhealthy alcohol use has been e...
Source: Addiction Science and Clinical Practice - August 7, 2017 Category: Addiction Authors: Bernstein SL, D'Onofrio G Tags: Addict Sci Clin Pract Source Type: research

Comparison of DSM-IV and DSM-5 criteria for alcohol use disorders in VA primary care patients with frequent heavy drinking enrolled in a trial.
CONCLUSIONS: In this sample of primary care patients with frequent heavy drinking, DSM-5 identified 13% more patients with AUD than DSM-IV. This group had a lower mental health symptom burden and less self-reported readiness to change compared to those meeting criteria for both DSM-IV and DSM-5 AUD. Trial Registration ClinicalTrials.gov NCT01400581. 2011 February 17. PMID: 28716049 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - July 18, 2017 Category: Addiction Authors: Takahashi T, Lapham G, Chavez LJ, Lee AK, Williams EC, Richards JE, Greenberg D, Rubinsky A, Berger D, Hawkins EJ, Merrill JO, Bradley KA Tags: Addict Sci Clin Pract Source Type: research

Enhancing patient navigation to improve intervention session attendance and viral load suppression of persons with HIV and substance use: a secondary post hoc analysis of the Project HOPE study.
Abstract BACKGROUND: Interventions are needed to improve viral suppression rates among persons with HIV and substance use. A 3-arm randomized multi-site study (Metsch et al. in JAMA 316:156-70, 2016) was conducted to evaluate the effect on HIV outcomes of usual care referral to HIV and substance use services (N = 253) versus patient navigation delivered alone (PN: N = 266) or together with contingency management (PN + CM; N = 271) that provided financial incentives targeting potential behavioral mediators of viral load suppression. AIMS: This secondary analysis evaluate...
Source: Addiction Science and Clinical Practice - June 27, 2017 Category: Addiction Authors: Stitzer M, Matheson T, Cunningham C, Sorensen JL, Feaster DJ, Gooden L, Hammond AS, Fitzsimons H, Metsch LR Tags: Addict Sci Clin Pract Source Type: research

Associations of criminal justice and substance use treatment involvement with HIV/HCV testing and the HIV treatment cascade among people who use drugs in Oakland, California.
Abstract BACKGROUND: People who smoke crack cocaine and people who inject drugs are at-risk for criminal justice involvement as well as HIV and HCV infection. Compared to criminal justice involvement, substance use treatment (SUT) can be cost-effective in reducing drug use and its associated health and social costs. We conducted a cross-sectional study of people who smoke crack cocaine and people who inject drugs to examine the association between incarceration, community supervision and substance use treatment with HIV/HCV testing, components of the HIV treatment cascade, social and physical vulnerability and ris...
Source: Addiction Science and Clinical Practice - June 14, 2017 Category: Addiction Authors: Lambdin BH, Kral AH, Comfort M, Lopez AM, Lorvick J Tags: Addict Sci Clin Pract Source Type: research

Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial.
CONCLUSION: The CHOICE trial tested a patient-centered intervention for AUDs and recruited primary care patients at high risk for AUDs, with a spectrum of severity, co-morbidity, and readiness to change drinking. Trial registration The trial is registered at clinicaltrial.gov (NCT01400581). PMID: 28514963 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - May 17, 2017 Category: Addiction Authors: Bradley KA, Ludman EJ, Chavez LJ, Bobb JF, Ruedebusch SJ, Achtmeyer CE, Merrill JO, Saxon AJ, Caldeiro RM, Greenberg DM, Lee AK, Richards JE, Thomas RM, Matson TE, Williams EC, Hawkins E, Lapham G, Kivlahan DR Tags: Addict Sci Clin Pract Source Type: research

Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA).
This report summarizes practice, research, and policy recommendations and key research developments from our meeting. In order to move the field forward, a research agenda was proposed to (1) address evidence gaps in screening, brief intervention, and referral to treatment, (2) develop innovations to address severe unhealthy alcohol use within primary care, (3) describe the stigma of unhealthy alcohol use, which obstructs progress in prevention and treatment, (4) reconsider existing conceptualizations of unhealthy alcohol use that may influence health care, and (5) identify efforts needed to improve the capacity for addres...
Source: Addiction Science and Clinical Practice - May 10, 2017 Category: Addiction Authors: Glass JE, Andréasson S, Bradley KA, Finn SW, Williams EC, Bakshi AS, Gual A, Heather N, Sainz MT, Benegal V, Saitz R Tags: Addict Sci Clin Pract Source Type: research

Acceptability of a mobile health intervention to enhance HIV care coordination for patients with substance use disorders.
CONCLUSIONS: Peer health navigation and smartphone-based EMA are acceptable approaches to facilitating engagement in HIV care for drug using populations. Future studies to evaluate the efficacy of this approach for improving long-term retention in care and antiretroviral treatment outcomes are warranted. ClinicalTrials.gov Identifier NCT01941108; registered on September 4, 2013. PMID: 28441962 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - April 26, 2017 Category: Addiction Authors: Westergaard RP, Genz A, Panico K, Surkan PJ, Keruly J, Hutton HE, Chang LW, Kirk GD Tags: Addict Sci Clin Pract Source Type: research

Seek, test, treat: substance-using women in the HIV treatment cascade in South Africa.
CONCLUSIONS: These results, although cross-sectional, provide some guidance for provincial authorities to address barriers to HIV care for sexually active, substance-using vulnerable women in Pretoria. Targeting the inner city with prevention campaigns, expanding and improving substance abuse treatment programs, linking clients with simultaneous HIV testing and treatment, and targeting women who have experienced sexual assault and violence may help the government achieve the UNAIDS 90-90-90 treatment target. Clinical Trials.gov NCT01497405 registered on December 1, 2011. PMID: 28441975 [PubMed - in process] (Source: A...
Source: Addiction Science and Clinical Practice - April 26, 2017 Category: Addiction Authors: Wechsberg WM, van der Horst C, Ndirangu J, Doherty IA, Kline T, Browne FA, Belus JM, Nance R, Zule WA Tags: Addict Sci Clin Pract Source Type: research

VA residential substance use disorder treatment program providers' perceptions of facilitators and barriers to performance on pre-admission processes.
CONCLUSIONS: Metrics for pre-admission processes can be helpful for monitoring residential SUD treatment programs. Interviewing program management and staff about drivers of performance metrics can play a complementary role by identifying innovative and other strong practices, as well as high-value targets for quality improvement. Key facilitators of high-performing facilities may offer programs with lower performance useful strategies to improve specific pre-admission processes. PMID: 28372579 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - April 4, 2017 Category: Addiction Authors: Ellerbe LS, Manfredi L, Gupta S, Phelps TE, Bowe TR, Rubinsky AD, Burden JL, Harris AH Tags: Addict Sci Clin Pract Source Type: research

The association between age of onset of opioid use and comorbidity among opioid dependent patients receiving methadone maintenance therapy.
CONCLUSION: Our study demonstrates that the younger one begins to use opioids, the greater their chance of having a physical or psychiatric co-morbidity. Understanding the risk posed by an earlier onset of opioid use for the later development of comorbid disorders informs clinical practice about important prognostic predictors and aids in the identification of high-risk patients. PMID: 28347350 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 28, 2017 Category: Addiction Authors: Naji L, Dennis BB, Bawor M, Varenbut M, Daiter J, Plater C, Pare G, Marsh DC, Worster A, Desai D, MacKillop J, Thabane L, Samaan Z Tags: Addict Sci Clin Pract Source Type: research

Mobile technology intervention to improve care coordination between HIV and substance use treatment providers: development, training, and evaluation protocol.
This study will develop and evaluate a CCI consisting of a tablet-based mobile platform for treatment providers, an interagency communication protocol, and a training protocol as a means of improving the integration of care for PLWH who have a SUD. Results have the potential to advance the field by bridging gaps in a fragmented healthcare system, and improving treatment efficiency, work flow, and communication among interdisciplinary providers from different treatment settings. TRIAL REGISTRATION: NCT02906215. PMID: 28288678 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 13, 2017 Category: Addiction Authors: Claborn K, Becker S, Ramsey S, Rich J, Friedmann PD Tags: Addict Sci Clin Pract Source Type: research

Public sector low threshold office-based buprenorphine treatment: outcomes at year 7.
CONCLUSIONS: Unobserved "home" buprenorphine induction in a public sector primary care setting appeared a feasible and safe clinical practice. Post-induction treatment retention of a median 38 weeks was in line with previous naturalistic studies of real-world office-based opioid treatment. Low threshold treatment protocols, as compared to national guidelines, may compliment recently increased prescriber patient limits and expand access to buprenorphine among public sector opioid use disorder patients. PMID: 28245872 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - February 27, 2017 Category: Addiction Authors: Bhatraju EP, Grossman E, Tofighi B, McNeely J, DiRocco D, Flannery M, Garment A, Goldfeld K, Gourevitch MN, Lee JD Tags: Addict Sci Clin Pract Source Type: research

A systematic review of health economic models of opioid agonist therapies in maintenance treatment of non-prescription opioid dependence.
CONCLUSION: A relatively small number of studies of varying quality were found. Strengths and weaknesses relating to model structure, inputs and approach were identified across all the studies. There was no indication of a single standard emerging as a preferred approach. Most studies omitted societal costs, an important issue since the implications of drug abuse extend widely beyond healthcare services. Nevertheless, elements from previous models could together form a framework for future economic evaluations in opioid agonist therapy including all relevant costs and outcomes. This could more adequately support decision-m...
Source: Addiction Science and Clinical Practice - February 23, 2017 Category: Addiction Authors: Chetty M, Kenworthy JJ, Langham S, Walker A, Dunlop WC Tags: Addict Sci Clin Pract Source Type: research

Prenatal treatment for opioid dependency: observations from a large inner-city clinic.
CONCLUSIONS: The number of mother-infant pairs increased significantly from 2006 to 2010 and the clinical characteristics of these patients changed over time. Our experience reflects the rising increase in opioid use disorders in pregnancy and NAS, mandating the need for expansion of comprehensive prenatal care options for these women and their children. PMID: 28086944 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - January 12, 2017 Category: Addiction Authors: Saia K, Bagley SM, Wachman EM, Patel PP, Nadas MD, Brogly SB Tags: Addict Sci Clin Pract Source Type: research

Opioid overdose prevention and naloxone rescue kits: what we know and what we don't know.
This article summarizes the known benefits of naloxone access and details unanswered questions about overdose education and naloxone rescue kits. Hopefully future research will address these knowledge gaps, improve the effectiveness of opioid overdose education and naloxone distribution programs, and unlock the full promise of naloxone rescue kits. PMID: 28061909 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - January 6, 2017 Category: Addiction Authors: Kerensky T, Walley AY Tags: Addict Sci Clin Pract Source Type: research

Prevalence and factors associated with use of khat: a survey of patients entering HIV treatment programs in Ethiopia.
CONCLUSIONS: Khat use was common among HIV patients entering care, and associated with symptoms of poorer physical health. Over half started khat use when they were young. Although most believed khat is harmful for HIV patients, a number of respondents reported some difficulty controlling their drug use. In settings where khat is legal and widely utilized, developing interventions for responsible use represent an important health priority as part of comprehensive care for people living with HIV. PMID: 28057079 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - January 5, 2017 Category: Addiction Authors: Lifson AR, Workneh S, Shenie T, Ayana DA, Melaku Z, Bezabih L, Waktola HT, Dagne B, Hilk R, Winters KC, Slater L Tags: Addict Sci Clin Pract Source Type: research

Validation of the AUDIT-C in adults seeking help with their drinking online.
CONCLUSIONS: AUDIT-C cut-off scores for identifying alcohol consumption above weekly limits in this largely UK based study population were substantially higher than those reported in other validation studies. Researchers and practitioners should select AUDIT-C cut-off scores according to the purpose of identifying risky drinkers and hence the relative importance of sensitivity and/or specificity. PMID: 28049515 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - January 3, 2017 Category: Addiction Authors: Khadjesari Z, White IR, McCambridge J, Marston L, Wallace P, Godfrey C, Murray E Tags: Addict Sci Clin Pract Source Type: research

Technology-assisted intervention for parents of adolescents in residential substance use treatment: protocol of an open trial and pilot randomized trial.
This study will adapt and evaluate a technology-assisted parenting intervention as a means of improving adolescent outcomes following residential SUD treatment. Results have the potential to advance the field by: addressing a high-risk population, improving parental engagement; targeting parenting practices (putative mediators of change) that have been linked to adolescent outcomes; and developing a highly disseminable approach. PMID: 28049542 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - January 2, 2017 Category: Addiction Authors: Becker SJ, Hernandez L, Spirito A, Conrad S Tags: Addict Sci Clin Pract Source Type: research

Alcohol use in opioid agonist treatment.
Abstract Alcohol misuse among individuals receiving agonist treatment for an opioid use disorder is common and is associated with significant morbidity and mortality. At present, though substantial research highlights effective strategies for the screening, diagnosis and management of an alcohol or opioid use disorder individually, less is known about how best to care for those with a dual diagnosis especially since common treatments for opioid addiction may be contraindicated in a setting of alcohol use. This review summarizes existing research and characterizes the prevalence, clinical implications and managemen...
Source: Addiction Science and Clinical Practice - December 7, 2016 Category: Addiction Authors: Nolan S, Klimas J, Wood E Tags: Addict Sci Clin Pract Source Type: research

Emerging adults in substance misuse intervention: preintervention characteristics and responses to a motivation-enhancing program.
CONCLUSIONS: Findings showed positive changes during intervention for many emerging adult participants attending PFL. Further research is needed that include comparison conditions, as well as examine longer-term outcomes in this population. PMID: 27829442 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - November 8, 2016 Category: Addiction Authors: Beadnell B, Crisafulli MA, Stafford PA, Casey EA Tags: Addict Sci Clin Pract Source Type: research

Proceedings of the 13th annual conference of INEBRIA.
Authors: PMID: 27654147 [PubMed - as supplied by publisher] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - September 23, 2016 Category: Addiction Tags: Addict Sci Clin Pract Source Type: research

Multifaceted academic detailing program to increase pharmacotherapy for alcohol use disorder: interrupted time series evaluation of effectiveness.
CONCLUSIONS: This study found empirical support for a multifaceted quality improvement strategy aimed at increasing access to and utilization of pharmacotherapy for AUD. Future studies should focus on determining how to enhance the programs effects, especially in non-responsive locations. PMID: 27633982 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - September 19, 2016 Category: Addiction Authors: Harris AH, Bowe T, Hagedorn H, Nevedal A, Finlay AK, Gidwani R, Rosen C, Kay C, Christopher M Tags: Addict Sci Clin Pract Source Type: research

Feasibility of a computer-assisted social network motivational interviewing intervention for substance use and HIV risk behaviors for housing first residents.
CONCLUSIONS: This study is the first of its kind that has developed, with input from Housing First staff and residents, a motivational interviewing intervention that targets both the structure and composition of one's social network. These results suggest that providing visual network feedback with a guided motivational interviewing discussion is a promising approach to supporting network change. ClinicalTrials.gov Identifier NCT02140359. PMID: 27604543 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - September 10, 2016 Category: Addiction Authors: Osilla KC, Kennedy DP, Hunter SB, Maksabedian E Tags: Addict Sci Clin Pract Source Type: research

Hazardous drinking among young adults seeking outpatient mental health services.
A, Satre DD Abstract BACKGROUND: Alcohol use can have a significant negative impact on young adults in mental health treatment. This cross-sectional study examined prevalence and factors associated with hazardous drinking among young adults seeking outpatient mental health services, rate of alcohol use disorders (AUDs), and the relationship between hazardous drinking and other types of substance use. METHODS: Participants were 487 young adults ages 18-25 who completed self-administered computerized screening questions for alcohol and drug use. Alcohol use patterns were assessed and predictors of hazardous dri...
Source: Addiction Science and Clinical Practice - August 13, 2016 Category: Addiction Authors: Ordóñez AE, Ranney R, Schwartz M, Mathews CA, Satre DD Tags: Addict Sci Clin Pract Source Type: research

Drinking to toxicity: college students referred for emergency medical evaluation.
The objective was to describe the change in ED referrals after policy initiation and describe a group of students at risk for acute alcohol-related morbidity. METHODS: A retrospective cohort of university students during academic years 2007-2011 (September-June) transported to local ED's was evaluated. Data were compared 2 years prior to initiation of the policy and 3 years after and included total number of ED transports and blood or breath alcohol level. RESULTS: 971 Students were transported to local ED's. The mean number of yearly transports 2 years prior to policy initiation was 131 and 3 ...
Source: Addiction Science and Clinical Practice - June 11, 2016 Category: Addiction Authors: Kharasch SJ, McBride DR, Saitz R, Myers WP Tags: Addict Sci Clin Pract Source Type: research

Linking Infectious and Narcology Care (LINC) in Russia: design, intervention and implementation protocol.
DISCUSSION: LINC holds the potential to offer an effective approach to coordinating HIV care for people who inject drugs in Russia. The LINC intervention utilizes existing systems of care in Russia, minimizing adoption of substantial infrastructure for implementation. Trial Registration NCT01612455. PMID: 27141834 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - May 6, 2016 Category: Addiction Authors: Gnatienko N, Han SC, Krupitsky E, Blokhina E, Bridden C, Chaisson CE, Cheng DM, Walley AY, Raj A, Samet JH Tags: Addict Sci Clin Pract Source Type: research

Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review.
Abstract Sleep abnormalities are associated with acute and chronic use of addictive substances. Although sleep complaints associated with use and abstinence from addictive substances are widely recognized, familiarity with the underlying sleep abnormalities is often lacking, despite evidence that these sleep abnormalities may be recalcitrant and impede good outcomes. Substantial research has now characterized the abnormalities associated with acute and chronic use of alcohol, cannabis, cocaine, and opiates. This review summarizes this research and discusses the clinical implications of sleep abnormalities in the t...
Source: Addiction Science and Clinical Practice - April 29, 2016 Category: Addiction Authors: Angarita GA, Emadi N, Hodges S, Morgan PT Tags: Addict Sci Clin Pract Source Type: research

Examining multi-session brief intervention for substance use in primary care: research methods of a randomized controlled trial.
This study compared the effectiveness of SBIRT with a single BI session (BI/RT) to a multi-session brief-treatment intervention (BI/RT+) in primary care. We also developed easy-to-use, evidence-based materials to assist clinicians in delivering these interventions. METHODS/DESIGN: This study was conducted in three Federally Qualified Healthcare Centers (FQHCs). A total of 10,935 patients were screened, and 600 individuals were recruited. The sample was primarily Black/African American (82 %) with a mean age of 40. Patients who attended a healthcare appointment were screened for substance use via the AUDIT and DAS...
Source: Addiction Science and Clinical Practice - April 21, 2016 Category: Addiction Authors: Chambers JE, Brooks AC, Medvin R, Metzger DS, Lauby J, Carpenedo CM, Favor KE, Kirby KC Tags: Addict Sci Clin Pract Source Type: research

Study design to evaluate cognitive behavioral therapy among a diverse sample of adults with a first-time DUI offense.
This study protocol paper describes a randomized trial of cognitive behavioral therapy (CBT) compared to usual care in DUI programs for individuals with a first-time offense and at-risk drinking. We will utilize a two-group randomized design where individuals enrolled in a DUI program with a first-time conviction will be randomized to CBT (n = 150) or usual care (n = 150). Participants will be assessed at baseline, immediately post-treatment, and 6-months post-treatment. Recidivism data will be collected using administrative data within 2 years post-treatment. DISCUSSION: This project has the ...
Source: Addiction Science and Clinical Practice - April 3, 2016 Category: Addiction Authors: Osilla KC, Watkins KE, Kulesza M, Flórez K, Lara-Greenberg M, Miles JN Tags: Addict Sci Clin Pract Source Type: research

Study protocol for a web-based personalized normative feedback alcohol intervention for young adult veterans.
The objective of this proposed randomized controlled trial is to develop and pilot test a brief, stand-alone Internet-based alcohol intervention with young adult veterans to help them reduce their drinking and prevent the development of problematic alcohol use. METHODS/DESIGN: Recruitment and intervention is delivered entirely over the Internet to address barriers to seeking care among this at-risk group. The online intervention consists of an assessment followed by a single module of personalized normative feedback (PNF), which provides individuals with accurate information to reduce misperceptions regarding the freq...
Source: Addiction Science and Clinical Practice - April 3, 2016 Category: Addiction Authors: Pedersen ER, Marshall GN, Schell TL Tags: Addict Sci Clin Pract Source Type: research

Acknowledgement of manuscript reviewers 2015.
PMID: 27000090 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 25, 2016 Category: Addiction Authors: Samet JH Tags: Addict Sci Clin Pract Source Type: research

A computer-assisted motivational social network intervention to reduce alcohol, drug and HIV risk behaviors among Housing First residents.
DISCUSSION: Social network health interventions are an innovative approach for reducing future AOD use and HIV risk problems, but little is known about their feasibility, acceptability, and efficacy. The current study develops and pilot-tests a computer-assisted intervention that incorporates social network visualizations and MI techniques to reduce high risk AOD use and HIV behaviors among the formerly homeless. CLINICALTRIALS. GOV IDENTIFIER: NCT02140359. PMID: 26979982 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 18, 2016 Category: Addiction Authors: Kennedy DP, Hunter SB, Osilla KC, Maksabedian E, Golinelli D, Tucker JS Tags: Addict Sci Clin Pract Source Type: research

Management of patients with issues related to opioid safety, efficacy and/or misuse: a case series from an integrated, interdisciplinary clinic.
CONCLUSIONS: The core components of our approach-biopsychosocial assessment and multimodal treatment planning with an emphasis on promoting functional goals and safety using clear communication and a patient-centered stance-should guide providers in the management of similar clinical scenarios. More evidence is needed to definitively guide specific interventions and points of clinical equipoise. PMID: 26818474 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - January 30, 2016 Category: Addiction Authors: Becker WC, Merlin JS, Manhapra A, Edens EL Tags: Addict Sci Clin Pract Source Type: research

Finding harmony so the music plays on: pragmatic trial design considerations to promote organizational sustainment of an empirically-supported behavior therapy.
DISCUSSION: Each pragmatic trial design feature is argued to have contributed to sustainment of CM. Contributions implicate the building of setting proprietorship for the CM intervention, culling of internal staff expertise in its delivery, iterative use of assessment methods that limited setting burden, documentation of setting-specific clinical effectiveness, expanded penetration of CM among staff during provisional implementation, and promotion of setting self-reliance in the oversight of sustainable implementation procedures. It is hoped this discussion offers ideas for how to impact local clinical and policy decisions...
Source: Addiction Science and Clinical Practice - January 25, 2016 Category: Addiction Authors: Hartzler B, Peavy KM, Jackson TR, Carney M Tags: Addict Sci Clin Pract Source Type: research

Implementation of integrated stepped care for unhealthy alcohol use in HIV clinics.
CONCLUSIONS: Use of the CFIR framework reveals that implementation of integrated stepped care for unhealthy alcohol use in HIV clinics is facilitated by tools to help providers enhance patient motivation or address unhealthy alcohol use among patients perceived to be unmotivated. Implementation may be facilitated by its consistency with organizational values and existing models of care and attention to optimizing provider self-efficacy and roles (i.e. approaches to treatment integration). PMID: 26763048 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - January 16, 2016 Category: Addiction Authors: Edelman EJ, Hansen NB, Cutter CJ, Danton C, Fiellin LE, O'Connor PG, Williams EC, Maisto SA, Bryant KJ, Fiellin DA Tags: Addict Sci Clin Pract Source Type: research